Registration and Payment for
Tortola, British Virgin Islands
March 11 – 18, 2017

Please submit a separate registration for each traveler

After you complete and submit this form, you will automatically be re-directed to the Payment Page so you can pay securely online with your credit or debit card. A deposit payment of $369 is required to reserve your space on this tour.

NOTE: The name you enter below must be exactly as it appears or will appear on your passport. If you do not have a passport at this time, please submit this form now and provide RMC with your passport information after you receive your passport.

First Name (required)

Middle Name (if applicable)

Last Name (required)

Passport Number

Country of Issue (required)

Passport Issue date

Passport Expiry date

Date of Birth (required)

Country of Birth (required)

Mailing Address (required)

City (required)

State/Province (required)

ZIP/Postal Code (required)

Telephone (required)

Your Email (required)

I am: (required) FemaleMale

I’m booking Land Only and will provide my own air to/from Tortola

Please check one accommodation choice:

Agape Single Unit Cottage (double)
Agape 2 Bedroom Cottage (double)
Myette Cottage (double)
Mongoose Single Room

I have physical limitations that require special attention. I am entering details in the "Optional Message" area below. (Most situations can be accommodated, but we must know beforehand in order to make arrangements, and there may be additional costs.)

I require a special diet and am entering details in the "Optional Message" area below

I do not have a roommate and I understand RMC Travel will try to match me with a suitable roommate(s).

(Optional) My roommate(s) will be:

Optional Message

I understand that RMC highly recommends the purchase of Trip Cancellation Insurance, and our preferred Insurance provider is Allianz.

(required) I understand and accept the Terms and Conditions for this program.
For security, please enter the following characters in the space below: captcha

After clicking, you will automatically be re-directed for secure online payment.

If you have already registered and would like to go to directly the Payment page, please CLICK HERE